Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Queenie V Lathan, LPCC-S

Individual provider Professional Counselor · NPI 1124259122

MS. Queenie V Lathan, LPCC-S is a Mental Health Counselor in Niles, Ohio. Qualified in 2009, 17 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2009
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Practice location Address checks out

165 E Park Ave
Niles, OH 44446-2352
Phone: (330) 544-8005
Fax: (330) 544-9379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 108 Main Ave Sw Ste 903, Warren, OH 44481-1010 — (330) 219-5892

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E0700418SUPV (OH)

Record details

NPI number1124259122
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC-S
Sole proprietorYes
NPI enumeratedAugust 7, 2009
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Niles